Valvuloplasty aortic at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$2,617.28
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$12,565.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$677.33 with United Healthcare vs $49,005.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Community Plan | $677.33 | ↓ -74% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $949.90 | ↓ -64% |
| Aetna | Better Health | $3,126.17 | ↑ +19% |
| Fidelis Care | NJ Family Care | $3,261.87 | ↑ +25% |
| Wellpoint | Medicare Advantage | $6,396.65 | ↑ +144% |
| Humana | Medicare | $6,396.65 | ↑ +144% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,396.65 | ↑ +144% |
| Fidelis Care | Medicare Advantage | $6,396.65 | ↑ +144% |
| Aetna | Medicare | $6,396.65 | ↑ +144% |
| Clover Health | Medicare Advantage | $6,396.65 | ↑ +144% |
| United Healthcare | Medicare | $6,524.58 | ↑ +149% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,548.87 | ↑ +150% |
| Wellpoint | NJ Family Care | $7,162.05 | ↑ +174% |
| First Health | Commercial | $7,539.00 | ↑ +188% |
| United Healthcare | Oxford Metro | $7,624.00 | ↑ +191% |
| United Healthcare | Nexus | $8,095.00 | ↑ +209% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,155.94 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $8,684.92 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,766.60 | ↑ +235% |
| United Healthcare | Oxford Commercial | $8,969.00 | ↑ +243% |
| Aetna | HMO | $9,200.00 | ↑ +252% |
| Aetna | PPO | $9,200.00 | ↑ +252% |
| United Healthcare | Commercial | $9,523.00 | ↑ +264% |
| Qualcare Inc | HMO/POS | $9,649.92 | ↑ +269% |
| Qualcare Inc | PPO/WC | $10,290.73 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,680.25 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $11,726.91 | ↑ +348% |
| Wellcare | Ambetter Health Commercial | $12,729.33 | ↑ +386% |
| Emblem Health | Commercial | $12,793.30 | ↑ +389% |
| Cigna | Local Plus | $36,617.00 | ↑ +1299% |
| Cigna | HMO | $46,527.00 | ↑ +1678% |
| Cigna | PPO | $49,005.00 | ↑ +1772% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty aortic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $2,662.52 | $949.90 – $12,793.30 |
| Clara Maass Medical Center | Belleville | $1,987.60 | $949.90 – $12,729.33 |
| Jersey City Medical Center | Jersey City | $2,574.64 | $851.51 – $13,361.76 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $2,204.42 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $2,150.15 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,316.26 | $1,158.42 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $6,310.78 | $2,150.15 – $7,572.94 |